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临床试验/NL-OMON52634
NL-OMON52634招募中2 期

eo-adjuvant FOLFOXIRI and chemoradiotherapy for high risk (*ugly*) locally advanced rectal cancer. - MEND-IT

Catharina-ziekenhuis0 个研究点目标入组 128 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
招募中
入组人数
128

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • 18 years or older
  • WHO performance score 0-1.
  • Fit for (modified dose) triple chemotherapy (FOLFOXIRI)
  • Histopathologically confirmed rectal cancer.
  • Lower border of the tumour located on or below the sigmoidal take-off as
  • established on MRI of the pelvis.
  • Confirmed high-risk locally advanced rectal cancer, at high risk of treatment
  • failure, meeting one of the following imaging based criteria:
  • o Tumour invasion of mesorectal fascia (MRF+)
  • o The presence of grade 4 extramural venous invasion (mrEMVI)
  • o The presence of tumour deposits (TD)
  • o The presence of bilateral extramesorectal lymph nodes with a short-axis size
  • >= 7mm (LLN) or extensive LLN involving pelvic side wall structures, at high
  • risk of an incomplete resection.
  • Resectable disease as determined on magnetic resonance imaging (MRI) or
  • deemed resectable disease after neoadjuvant treatment.
  • Expected gross incomplete resection with overt tumour remaining in the patient
  • after resection, tumour invasion in the neuroforamina, encasement of the
  • ischiadic nerve and invasion of the cortex from S2 and upwards are considered
  • not resectable
  • Written informed consent.

排除标准

  • Evidence of metastatic disease at time of inclusion or within six months
  • prior to inclusion except for patients with enlarged iliac or inguinal lymph
  • nodes and aspecific lung noduli.
  • Homozygous DPD deficiency.
  • Any chemotherapy within the past 6 months.
  • Any contraindication for the planned systemic therapy (e.g. severe allergy,
  • pregnancy, kidney dysfunction and thrombocytopenia), as determined by the
  • medical oncologist.
  • Previous radiotherapy in the pelvic area precluding chemoradiotherapy with a
  • dose of 50 - 50.4 Gy.
  • Any contraindication for the planned chemoradiotherapy (e.g. severe allergy
  • to the chemotherapy agent or no possibility to receive radiotherapy), as
  • determined by the medical oncologist and/or radiation oncologist.
  • Any contraindication to undergo surgery, as determined by the surgeon and/or
  • anaesthesiologist.
  • Concurrent malignancies that interfere with the planned study treatment or
  • the prognosis of the resected tumour.

研究者

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